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HomeMy WebLinkAboutMiscellaneous - 15 HUCKLEBERRY LANE 4/30/2018 15 HUCKLEBERRY LANE 210/065.0-0223-0000.0 i i CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date 7 g THIS CERTIFIES THAT THE BUILDING LOCATED ON 'I <�- ' MAY BE OCCUPIED AS a LiE IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STA BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO PIIJ 9:e-j &-d p ADDRESS G b�4Z ''"c""'` r ding Inspector t4ORT Town of over o rn 110. 3 6 0s lover, Mass., 0 LAKE COCHICHEWICK V '9A �gATEpPP` EMEMOL BOARD OF HEALTH Food/Kitchen PERIT11T T D Septic System PL! BIJII.DING INSPECTOR THIS CERTIFIES THAT...................................... J. .�0..1�.........P.0.0.0.....................................:.................... Foundation has permission to erect................I..................... buildings on.........15 ....... .t .�................ ough ��/0G F,,*�I/ Ch tobe occupied as......................................................................�- .........................rY............................................................ v / provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Fin this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of !! Buildings in the Town of North Andover. PLUMBING_InNSP�cT�It VIOLATION of the Zoning or Building Regulations Voids this Permit. ou �— in PERMIT EXPIRES IN 6 MONTHSP. UNLESS CONSTRUCTION SgTS EL PE.............................. ............ .......... .. ce `d . .. .. UILDING INSPECTOR Ft Occupancy Permit Required to Occupy Building GASE TR� /LO Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. /1 Burner Street No. Smoke Det. LocationI +�7,_ +sct�.' '; t? ��}" 17 No. — 6:?.? C -Date 7 /316-7 L. puRTly TOWN OF NORTH ANDOVER 4.6 Oft•��o �1N Certificate of Occupancy •$ Building/Frame Oermit Fee $ CHUs<� Foundation Permit Fee $ r • ZJ � ;:' ��ot,..•Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ V Ipp ` Building I F ctor Div. u lic Works PERMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP ado. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK ;PAGE SUB DIV. LOT NO. 1 LOCATION I5 L/ Lo" PURPOSE OF BUILDING A,� 1 � OWNER'S NAME ! /�� NO. OF STORIES NciC.✓ SIZE OWNER'S ADDRESS . J OA.- L N 1` Q 'LCjN/lBASEMENT OR SLAB ?A ARCHITECT'S NAME �C� �V SIZE OF FLOOR TIMBERS rS15T �1� 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUIL ING DIMENSIONS OF SILLS—[�}[i� DISTANCE FROM STREET -t POSTS ,`� DISTANCE FROM LOT LINES-SIDES y.-t REAR GIRDERSY AA /L-N AREA OF LOT D- 0-40 FRONTAGE lap.L- HEIGHT OF FOUNDATION THICKNESS Jv I IS BUILDING NEW SIZE OF FOOTING my,42 X IS BUILDING ADDITION p �� MATERIAL OF CHIMNEY IS BUILDING ALTERATION �VV vu IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE VjJ g IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY A.)V IS BUILDING CONNECTED TO TOWN SEWER I/,per IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES J. EST. BLDG. COST SDS • PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 2 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BUILDING INGPKCTOR SIGNAT RE OF OWNER OR A161MOFRIZED AGENT FEE �/1 �_ . OWNER TEL. PERMIT GRANTED - CONTR.TEL.#1 FM t Q Q 0 19% CONTR.LIC.# J� H.I.C.# BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES- THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 1 2 13 f CONCRETE 8L K. PINE _ BRICK OR STONE HARDWD PIERS PLASTER DRY WALL UNFIN, 3 BASEMENT AREA FULL FIN. B M'TAREA _ - '/. FIN. ATTIC AREA - NO B M FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS11,81- FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_' WOOD SHINGLES EARTH _ ASPHALT SIDING HARD\!✓'D V _ ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK N MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. r STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR _ ADEQUATE I NONE 5 ROOF jtq PLUMBING GABLE I BATH (3 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX. _ FLAT SHED / TER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES - KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER - ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO 6 FRAMING JA' HEATING WOOD JOIST PIPELESS FURNAf_E FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ .HOT W'T'R OR VAPOR e WOOD RAFTERS. _ AIR CONDITIONING .4 RADIANT H'T'G UNIT HEATERS e 7 NO. OF ROOMS GAS s OIL B'M'T I _2nd _ ELECTRIC .r.�.Jrd I11 NO HEATING N1ORT Town of ,_ - over No. 3 6 m * Z s dover, Mass., Z-A z- 19 �0 LAK '9A COC XICME WICK 'V47 D�P`y J S E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System THIS CERTIFIES THATpz.?J.JE.Q .........A.� BUILDING INSPECTOR .J�.......................................................... Foundation has permission to erect.................I...................... buildings on .........157......1 nt.C. .. �.EA.IerV................ Rough to be occupied as....................................................S./.."?�'!C-a......F4 Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information as requested below. Name of Applicant on BuildingPermit below) Address of Property for Permit(belo ) Map and Parcel ; Purpo a of plicati n (check below) Phone Number of Applicant: Single Family Two Family I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or an to this from the requirements of obtaining other permits required prior to the issuance of the Building Permitpermit Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is,issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. BylThe lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning aw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.care met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior'shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. adjThis application represents a tract of land existing and not held by a Developer in common ownership with an acent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is in compliance with those permits),and the Development Schedule does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per Development until such time as the Development Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEMPTION. Please provide any and all information that would assist the Building Department in making a determination' that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply, whether done to my knowledge or not is_grounct for sal by the Building Department to issue a Building Permit. ign�� 7 wner orAuthoriz t who Signe th ttached BuldingPermt aThis fom must be attached t the uilding Permi pon application for such permit FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. *****************Applicant fills out this section***************** APPLICANT: ( / 3U 7(/ Phone _ i _ 3 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street St. Number �5 A,cQ N 6 Use Only************************ :RECO DATI ONS F T AGENTS: Date Approved j/2 Conservation Administrator. Date Rejected Comments X Date Approved Q Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected ! Date Approved Septic Inspector-Health Date Rejected Comments I ,< Public Works - sewer/water connections ��(��-V -213 iq 7 - driveway permit k) L-sfia";,t eJ h.q rc/wr.ctc/ a'rnu�r 7Jt7it�'Aacr Wic�/jFI.�F.i7.•sG 't Fire Department Received by Building Inspector Date N2 Date.2..-.3-....................... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING S CHUS This certifies that,........e... . .................................................... .. .... .... has permission to perform ... .......................................................... ..... ✓I.0. . .......................... wiring in the building of . North Andover,Mass. Fees.. ........ Lic.No.��L/.......L/........................................................ ELECTRICAL INSPECTOR 08/04/98 16:33 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer -- The Commonwealth of Massachusetts Office Use Only _77 Department of Public Safety Permit BOARD OF F?RE PREVENTION REGULATIONS 527 CMR 12:00 occupancy a Fee Checked— cke4c_ � y (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK cal Code,527 CMR 12:W (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date b City or Town of ���7"��/U�o -The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires: Location (Street & Number) /S /`7 y ne orTenant _�//1/ELA/00� FUELOPI)/ Al Owner's Address0 Is this permit in conjunction with a building permit yes El no (Ch,,;k Appropriate Box) Purpose of BuildingQl ,E��,�����/ 16C Utility Authorization No. Existing Service amps______ Volts Overhead ❑ Und rd Cl9 No, of Meters New Service amps / Volts Overhead ❑ Und rd ❑ S No. of Meters Number of Feeders and Ampacity Location and Nat•e of Proposed E!ectrical Work�.�CU.'Q/Ty t�y�/y No.. of fighting OutletsNo. of Hot Tubs TOTAL No. of Transformers KVA No. of Lighting Fixtures FiAbove In SwimmingPool rnd.❑ rnd❑ Generators KVA No. of Aeceotacle Outlets No. of 011 Burners No.of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zonas No. of Ranges TOTAL No. of Detection and No. of Air Conditioners TONS Initiating Devices No.of Disoosals HEAT TOTAL TOTAL No. of Sounding D©vices No. of Pumps- TONS KW No. of Selt Contained ..,No.of Dishwashers . ' Space/Area Heatin KW Detection/Sounding Devices No, of 0 erg HeatingKW KMunicipal Local ❑ Connection ❑Other No.ibf Water Heaters KW No. of No. of Low Voltage Signs Ballasts Wirin LY No. Hydro Massa a Tubs No. of Motors Total HP 014iEA: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ I haave submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start Inspection Date Requested: Rough Signed under the penalties of perjury: Final 4,&6C"- �6 C FIRM NAME tf ,CO Licensee{m ''7" V4 IF LIC. NO. rQ ,[/4/�i4,�,� Signature Address LIC. NO 3 Bus. tel. No. eRo3-,ya-1010 OWNER'S 114SURANCE WAIVER: I am aware that the Licensee does not have the Insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this application waives this requirement. Owner Agent (Please check one) Telephone No. (Signature of Owner or Agent) PEHMIT FEE $ � o I Date..... 7 NORTH TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACIIUS� This certifies that d w�J P"'"........:i '� ... $ ............. �. �..�.� .. ... � ........... has permission to perform ..... ................................�41' wiring in the building of '..:}. ..... .. .................................................. North Andover,Mass,,, ... ... ..... . .........f......`................... j .......... , o ..................... °o ..... s„ ELECTRICAL INSPECTOR N J WHITE: Applicant CANARY: Building Dept. PINK:Treasurer office Use Otty��/ Permit No. '?+�E L� B'l' 55Gr,,215�7T5 O�uaa�v& ee ca,eakea D4r*tu�a.e o6 F'dlta S� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1100 ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK t m-work to be.pelif0mvId in 8=wdarica wdh the Massachusetts Electrical Code 527 CMR 1200 oat* (Please Print in ink or type all infor radon) To the lnspmWr of Wires: i Tow„of North Andover The undersigned appG es for a permit to perform the electrical work described below. 1A Q location(Street&Nurmber Owners Address L J.J U po r C S azo1. - >f`� ate 8coc) i F8 this permrt(n oorry'utttdiat with ❑ (Check Appropnh a building Pernik Yes Utility Authorb2fion Purpose of BuiidiNo.of Meters Vats Overtteg d 0 Umdgrnd 0 na . E,dsdng Sete Amps No.of Meters �, Z 0 12s Volts Overhead 0 Undgmd New Service Number Of Feeders and Ampeciiy- /U eA—) Location and Nature of PrOPased Etecineal Worts �V Total - No.of Transformers. KVA No.of jgMnq Outlets No.of Hot fuse AbdYe Q d_ Generators KVA No.of U 'ng Fbaures Swimmin Pool and n rnd ❑ No.of Emergency Lighting Units No of R Outlets No.of Oil Burners FIRE ALARMS No.of Zone Na of Switch Outlets Noof.Gas.Bume<s No.at Detection acrd- Total No of Air Cond Tons Initiating Oevicss No.of Ranges Heat Total Total Pum Tons KW No.of Sounding Devices No Oiposw Noi of Self Contained KW oatectioniSounding Devices No_of Dishwashers Soace/Area Heatin a Municipal Cl Other KIN Local Connection No. No.of 0 O. .Devit�s of No.of -Low Voltage. N No.aE Water Heaters KIN Si s 8ailases Whin No. ro e Tuds No.of Maitre Total HP OTHER: INSURANCE COVERAGE. Pursuant to tie requintrrfen6ts of Massachusetts General Laws L� I have'a current Liability insurance Policy including pleted Operations Coverage or its substantial equivalent Kif = NO = have submitted valid proof of same to the Otfti� t� H you have checked-YES please indicate the type coverage try checking the appropriate box INSURANCE = BONO = OTHER = (Please SpeCWh) (Expiration Date) Estimated Value of Elect aI Works inspection Oats ReaQueatad Rough /�!�I (( Firtai Work to Start `-72 Signed underthe1iaissof P'Mur LIC.NO. FIRM NAME LIC.NO. Licensee l"e l c o Signauue C Bus.Tel No.. Address L,la..f�� �7P fk�/�— Alt Tet.No. �tiusetts OWNER'S INSU E WAI I am aware that the Licimmis;does Inot have this requiremthe en�nc coverage or ilsAgsubstan Ch akone required 1 ;r General Laws.And.that.my signature on this penrttt aPP J i ^ 6 S/Y r ..eoeinna No. PERMIT FEE(/, .r' s `- t:, ` c 9800 Fredericksburg Road San Antonio,TX 78288 US" 04664. 1TKH2.JSS1025787974. 01 . 01 . 2398 TOWN OF NORTH ANDOVER March 30, 2015 ATTN: BUILDING COMMISSIONER 1600 OSGOOD STREET BUILDING 20, SUITE 2035 NORTH ANDOVER,MA 01845 Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Attention Building Commissioner, I am writing regarding the claim referenced below. Policyholder: Gerald F Sullivan Reference #: 001166293-22 Date of loss: March 11, 2015 Location of loss: North Andover, Massachusetts Address: 15 HUCKLEBERRY LANE NORTH ANDOVER, Massachusetts, United States, 01845-3149 A claim has been made involving loss, damage or destruction of the property referenced above, which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to my attention and include the reference #. You may submit correspondence or questions to me. My contact information is: Address: P.O. BOX 659461 SAN ANTONIO, TEXAS 78265 Fax: 1-800-531-8669 Phone: 1-800-531-8722 x42020 Sincerely, Keyosha Little Property Claims United Services Automobile Association PO Box 659468 San Antonio, TX 78265 Phone: 1-800-531-8722 x42020 Fax: 1-800-531-8669 AHH/KL 001166293 - DM-04664- 22- 4513 - 74 54577-0914 Page 1 of 1